Facility profile · CCN 345565
Trinity Elms
11 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $15,646.
Record summary
Federal record · Q1 202611
Total citations
9
Last 3 years
2
Actual harm+
2
Federal penalties
$15,646
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
11 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 30, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jan 17, 2025 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| Jan 17, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Jan 17, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 17, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Aug 20, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Aug 20, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint |
| Aug 30, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | B | Complaint |
| Aug 30, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Mar 31, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Mar 31, 2022 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $15,646 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 20, 2024 | Fine | $7,823 | — |
| Aug 20, 2024 | Fine | $7,823 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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